DESK REVIEWS | 04.03.13. (How) does the policy incorporate aspects of prevention and risk reduction? (e.g., link to public health initiatives, community initiatives)

DESK REVIEW | 04.03.13. (How) does the policy incorporate aspects of prevention and risk reduction? (e.g., link to public health initiatives, community initiatives)

The National Healthcare Policy for Older People outlines the importance of immunization campaigns, prevention programs for chronic non-communicable diseases, and educational programs on healthy lifestyle (Brazilian Ministry of Health, 2006b). According to the National Policy of Primary Care healthcare-community agents are responsible for visiting people from their community on a regular basis. These visits aim, among other objectives, to assess the health of people and to guide them towards disease prevention and risk reduction (Brazilian Ministry of Health, 2012). It is relevant to note that this policy includes people of all ages, not only older people.

References:

Brazilian Ministry of Health. (2006b). Política Nacional de Saúde da Pessoa Idosa. Brazilian Ministry of Health. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2006/prt2528_19_10_2006.html

Brazilian Ministry of Health. (2012). Política Nacional de Atenção Básica. http://189.28.128.100/dab/docs/publicacoes/geral/pnab.pdf

Risk reduction and prevention for dementia is addressed in part through the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS) (MoHFW, 2017b). While the NPCDCS does not specifically mention dementia, it addresses risk factors and co-morbid conditions in persons with dementia. This could involve screening for risk factors and promoting healthy behaviours to reduce the risk of dementia.

References:

Ministry of Health and Family Welfare. (2017b). National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases and Stroke (NPCDCS).

 

The policy states that dementia prevention can be achieved through a reduction of risk factors of degenerative diseases and the enhancement of factors supportive to achieve healthy and productive brain. These targets are also covered in the first action plan, which focuses on public awareness campaigns. These programmes are coordinated jointly by the Ministry of Home Affairs, the Ministry of Health, and actors, such as public and private companies, governmental and non-governmental organizations with the goal to intensify campaigns and education in schools, among families, and across society (and including the workforce) (Ministry of Health Republic of Indonesia, 2015b).

References:

Ministry of Health Republic of Indonesia. (2015b). National Strategy: Management of Alzheimer and Other Dementia Diseases: Towards Healthy and Productive Older Persons. Ministry of Health Republic of Indonesia.

Three lines of action are developed around prevention and risk reduction:

  1. Considering dementia as a relevant public health problem.
  2. Strengthen preventive campaigns against diabetes, obesity, hypertension, and physical inactivity to reduce risk factors associated with dementia.
  3. Promote mental health care at all stages of human development.